Kendra Wilson, FNP in Fort Defiance, AZ - Medicare Nurse Practitioner

Kendra Wilson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Defiance, Arizona. She went to University Of Arizona College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Arizona Urgent Care Llc and her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8000.

Kendra Wilson is licensed to practice in Arizona (license number AP5411) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255755997.

Contact Information

	Kendra Wilson, FNP
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Wilson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kendra Wilson attended and graduated from University Of Arizona College Of Medicine in 2016

NPI Data:

NPI Number: 1255755997
Provider Enumeration Date: 02/18/2014
Last Update Date: 10/25/2019

Medicare PECOS Information:

PECOS PAC ID: 7618191925
Enrollment ID: I20220713002574

Medical Identifiers

Medical identifiers for Kendra Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255755997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	RN144375 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	AP5411 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Arizona Urgent Care Llc	9335398031	31

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kendra Wilson allows following entities to bill medicare on her behalf.

Entity Name	Southern Arizona Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285994004 PECOS PAC ID: 9335398031 Enrollment ID: O20121011000888

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kendra Wilson, FNP Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Kendra Wilson, FNP Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000

Reviews and Comments

Nurse Practitioner Nurses in Fort Defiance, AZ

Rosemary Josephine Bolza, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Highways 7 And 12, Fort Defiance, AZ 86504 Phone: 928-729-8775
Mrs. Patricia Nadurak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N8, Fort Defiance, AZ 86504 Phone: 928-729-8000
Jamie S Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Routes N7 & N12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Kathryn Barron, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8821
June Ellen Rhoda, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Melonie I Blancaneaux, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Tseshootsooi Medical Center, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8587
Ms. Jean Proper, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Kendra Wilson, FNP - Medicare Nurse Practitioner in Fort Defiance, AZ